Well being


A

It’s mainly because we become imperceptibly less active physically over the years, and we don’t really reduce our food intake enough to compensate for it. The basic science is still the same: if we take in more calories than we expend in energy, we will put on weight. You say your BMI is at the top of the healthy range — maybe around the 25 mark. That is still healthy and you should be happy with it. Your life expectancy is marginally longer than that of someone whose BMI is in the lower half (20 to 22.5) of what we accept as “normal”.

QMy wife and I have had cycles of IVF and ICSI, and in both cases fertilisation has been very poor. Our consultant says she cannot give a reason for the lack of fertilisation, but says that in light of the results she cannot see us ever conceiving and says that we should now look to adopt. We are happy to do this, but the lack of explanation is worrying.

AYour chances are not nil, but they do seem small. In some couples, sadly, there seems to be an incompatibility between the egg and the sperm that prevents conception, but we still don’t know why. However, I can offer some hope — I know of one couple just like yourselves who did adopt and decided not to worry any more about their fertility. Two years later the wife conceived while on a holiday. Although it’s based on just one case report, my advice would be to adopt and let the future take its course.


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